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Comparing wavefront-optimized, wavefront-guided and topography-guided laser vision correction: clinical outcomes

Karl Stonecipher1, Joseph Parrish, Megan Stonecipher

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Summary
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This review updates on laser vision correction, specifically laser-assisted in-situ keratomileusis (LASIK), presenting outcomes from over 1000 cases. A decision tree aids surgeons in selecting optimal LASIK treatment profiles for patients.

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Area of Science:

  • Ophthalmology
  • Refractive Surgery

Background:

  • Laser vision correction, particularly LASIK, offers various treatment profiles.
  • Patient selection and treatment planning are crucial for optimal outcomes.

Purpose of the Study:

  • To provide an update on current laser vision correction options, focusing on LASIK.
  • To present clinical outcomes data from over 1000 LASIK cases.
  • To highlight differences in visual recovery among various LASIK treatment profiles.

Main Methods:

  • Review of recent literature on LASIK risks, benefits, and alternatives.
  • Development of a decision tree based on anatomical, topographic, and aberrometry findings.
  • Retrospective evaluation of clinical outcomes for over 1000 LASIK cases.

Main Results:

  • Recent studies provide data on LASIK risks and benefits.
  • A decision tree was created to guide surgeons in selecting the best LASIK option based on preoperative diagnostic tests.
  • Clinical outcomes data from over 1000 cases illustrate differences in visual recovery based on treatment profiles.

Conclusions:

  • The presented data aids surgeons in understanding LASIK treatment profiles.
  • The decision tree assists in choosing the most appropriate LASIK treatment profile for individual patients.
  • Retrospective outcomes provide realistic expectations for surgeons adopting the decision tree.